KENNEDY DONOVAN CENTER, INC; NPI #1750487245

Contact Information

KENNEDY DONOVAN CENTER, INC

25 FOREST ST
ATTLEBORO, MA 02703-2407

Phone: 508-226-6035
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for KENNEDY DONOVAN CENTER, INC

NPI Number 1750487245

LBN Legal business name KENNEDY DONOVAN CENTER, INC

Authorized official KEVIN RODMAN-CONARE - (CEO/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/15/2006

Last updated 07/15/2010 - About 16 years ago

Identifiers

MA	Medicaid	1800604
MA	Medicaid	1800612
MA	Medicaid	1800647
MA	Medicaid	1802453
MA	Other	000000021539	EARLY INTERVENTION
MA	Other	0008524	EARLY INTERVENTION
MA	Other	601795	EARLY INTERVENTION
MA	Other	EI0025	EARLY INTERVENTION
MA	Other	KD0001	EARLY INTERVENTION

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KENNEDY DONOVAN CENTER, INC

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for KENNEDY DONOVAN CENTER, INC

Reviews for KENNEDY DONOVAN CENTER, INC